OFFICE OF THE REGISTRAR
Brown Hall, Suite 307
REQUEST TO ASSIGN GRADE OF
WN FOR NON-ATTENDANCE
Student ID Number
T
__ __ __ __ __ __ __ __
Date
Name Enrolled Under (Last, First, Middle, Other)
Registration Term:
Spring
Summer
Fall
20
CRN Course Prefix Course Number Sec No.
Instructor’s Signature:
Department Head’s Signature:
Fax or email completed form
to the Registrar’s Office at:
(479) 968-0683 or registrar@atu.edu
Updated April 25, 2019
Date Processed in the Registrar’s Office
Winter Intersession